Provider Demographics
NPI:1194276758
Name:MUIR, ROBYN (LMHC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:MUIR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 EXECUTIVE PARK DR STE 148
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3624
Mailing Address - Country:US
Mailing Address - Phone:754-444-6739
Mailing Address - Fax:
Practice Address - Street 1:2645 EXECUTIVE PARK DR STE 148
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3624
Practice Address - Country:US
Practice Address - Phone:754-444-6739
Practice Address - Fax:954-443-9652
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-19
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health